what do you think?

I am 36 years old. My symptoms over 4 months: burning and frequent-urination and sometimes microscopic blood in urine, Over last 4 months my psa rised from 1.7 to 2.6. My normal ultrasound, transrectal ultrasound and DRE for prostate was normal. Can I rely on them? Are they accurate?

what were your symptoms before diagnosis?

is it correct that prostate cancer is painless and hence burning in urination, frequent urination are related to other prostate problems?

i have been to 7 urologists. they diagnosed me with chronic prostattis but i am not sure if it is correct.
that is why i am asking here what people had before prostate cancer?
cipro and doxyline did not work.
the last urologist told me that it is not easy to treat prostatitis.

If it walks like a duck and quacks like a duck it's a duck.
You have typical symptoms of prostatitis and that's why 7 Urologists have DXed it. 7 more opinions are not going to change it, especially from guys that are not doctors.

Just_man,
I don't know you so this is just a guess, and please take it constructively. If 7 Urologists have told you the same thing and you still think it's something more serious, you've got some psychological issues that are driving that belief. I feel for you because I've been there, and had to get help , this was when I was about your age. So I know that whether your thoughts are justified or not, the beliefs in your thoughts sure seem real.

If this rings a bell with you, you should really seek someone to discuss them with. Again, please take this constructively

just_man said...
7 urologists said different and opposite things.
some said if psa rise it can be cancer, some said it is chronic prostatitis, some said chronic pelvic pain.
i am very worried for psa rise from 1.7 to 2.6 in 4 months.

The point is, asking the same question in multiple posts isn't helping. We understand your concern and anxiety, as we all have PCa.

BUT...we are not doctors, we don't have your results, and can not offer you anything they haven't already told you. Instead of going to 7 urologists (which as prato said, is borderline psychological issue), find 1 or 2, build a rapport and let them do their job. At some point you need to trust what they say.

Based on your age and numbers, I would bet my prostate you do not have PCa (would be funnier if i had surgery, but still).....

Please, stop asking the same question over and over. Settle on a urologist and have him monitor your PSA.

Just Man,

Just pick one of those seven urologists that you like and settle in for a long term relationship. The chronic prostatitis/prostate cancer thing is not, necessarily, a one thing or the other proposition. You could have both. But, given how young you are it is unlikely that you have prostate cancer and based on your symptoms it seems pretty clear that you do have chronic prostatitis. Diseases that end in "itis" refer to inflammation and irritation, regardless of the cause and it seems pretty clear that something is irritating your prostate.

Prostatitis, as others have mentioned, is notoriously hard to treat. It is often impossible to cure it but there are treatments that help most men. None of the treatments work for everybody but, for any man with chronic prostatitis it is likely that some treatment can be found that will help. One of the things you should ask your urologist to do is to look for something to relieve the symptoms of your prostatitis since it seems to be bothering you.

The other thing that seems sensible is to monitor your situation to make sure you don't have prostate cancer and don't develop it. As I said, it's unlikely that you have it now but its worth keeping an eye on it. Since prostatitis can cause an elevated PSA reading -- and can cause PSA levels to rise and fall -- the PSA test (which isn't a particularly good test for anyone) is particularly hard to interpret for men with prostatitis. You might want to talk to your urologist about other blood tests that do a better job of sorting out the (slight) risk of prostate cancer from the expected results of the prostatitis.